ACJ Reconstruction

Acromioclavicular (AC) joint dislocations are among the most common shoulder injuries, often occurring after a fall or a direct blow to the top of the shoulder. They are frequently seen in athletes, especially those involved in high-impact sports. Patients often notice a visible bump or lump at the top of the shoulder, pain, and limited mobility. Prompt evaluation and treatment are essential to restore function and prevent long-term instability.

The AC joint connects the collarbone (clavicle) to the shoulder blade (acromion). Dislocations are graded based on severity using the Rockwood classification system:

• Grade I–II: Low-grade injuries where the joint capsule is sprained but the coracoclavicular ligaments remain intact. These injuries are usually treated conservatively with rest, physiotherapy, and gradual return to activities.
• Grade III–VI: High-grade injuries involve rupture of the coracoclavicular and acromioclavicular ligaments. The clavicle may displace, forming a prominent bump at the top of the shoulder. Surgical reconstruction is often recommended for these injuries.

Early recognition and proper management are crucial, especially for active patients, to prevent recurrent dislocations and chronic shoulder instability.

Symptoms of ACJ Dislocations

Patients with AC joint injuries may experience:

• Pain at the top of the shoulder, worsening with movement
• Swelling or bruising
• A visible bump or deformity
• Limited range of motion
• Weakness or feeling of instability in the shoulder

High-grade injuries can significantly impair daily activities, making surgical evaluation necessary for optimal recovery.

Treatment

Non-Surgical Care

For low-grade injuries (I–II), treatment focuses on relieving pain and restoring function:

• Rest and activity modification
• Anti-inflammatory medications
• Targeted physiotherapy to strengthen surrounding muscles and regain mobility

Surgical Reconstruction

For severe injuries (III–VI) or cases with persistent instability, ACJ reconstruction is recommended.

Dr. Rohit Sane specializes in Arthroscopy Assisted AC Joint Reconstruction, a minimally invasive approach that precisely restores joint anatomy while minimizing scarring. This advanced technique provides:

AC Joint Dislocation Physiotherapy Treatment

Post-surgery physiotherapy is critical for a successful outcome. Dr. Sane emphasizes structured physiotherapy to regain strength and mobility:

• Initial gentle movements to prevent stiffness
• Gradual introduction of strengthening exercises
• Progression to sports or high-demand activities under professional guidance

With proper care, patients can expect excellent functional outcomes and a return to full shoulder activity.

If you have sustained a shoulder injury or notice a persistent bump, pain, or instability, it’s important to seek expert evaluation. Dr. Rohit Sane provides personalized care, combining advanced arthroscopic techniques with targeted rehabilitation to restore shoulder stability, alleviate pain, and help you regain confidence in your shoulder movements.

Book an appointment today to receive expert assessment and a tailored treatment plan for your shoulder. Don’t let an AC joint injury limit your daily life or sports performance.